Long Term/ Lifetime Care

1. Long term/ life time care for patients at NIMH is strictly discouraged in the institutional setting.

2. All attempts should be made to discharge patients back to family/ community/ community assisted living.

3. Multiple attempts should be made for discharge with the help of local area Psychiatry teams. At

Least three discharge attempts done genuinely are envisaged before transferring to long term care.

4. Patients whose discharge attempts have failed may be considered to be placed at NIMH Long term wards after considering the following. a. Joint Report from Key MO/ CPN/ PSW about the social background and previous discharge attempts b. Report from relevant are Divisional Secretariat/ Grama Niladhari c. Where relevant order from the relevant Court d. Availability of a Bed in the long term ward 5. Long Term Care wards will only house patients per bed capacity. No floor patients are allowed.

6. Long Term wards shall have a stipulated recreation and rehabilitation plan.

7. Even while in long term wards attempt should be made to transfer the patient to community based living after rehabilitation.

1. Ward 22 = 90 beds - Males (10 beds per each general psychiatry unit and 10 beds for forensic unit patients transferred after

Visitors Board approval)

1. Ward 31 – Learning Disability Care Ward - Females 2. Ward 32 – Dependent Care Ward - Females 3. Ward 33 – Medical Ward + Isolation Unit (Transit) 4. Ward 34 – 42 : Long term care wards divided among General Psychiatry Unit Consultants

a. Occupational Therapy Unit (Unit III), and Horticulture Unit (Unit II) b. NEST - Partnership with external non-governmental organization for rehabilitation activities c. Netherlee Cottage linked Community House - partnership for community placement with external party sponsored by ST ANDREW‘S SCOTS KIRK and NETHERLEE CHURCH,

Glasgow, Scotland